Tiderwater Youth Service Commission

LBN: Tiderwater Youth Service Commission
Tiderwater Youth Service Commission is an health care organization with primary practice located at 2404 Airline Blvd , Portsmouth VA 23701-2912. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Tiderwater Youth Service Commission can be contacted via phone (757) 488-9382, or through Holder, Karis via phone (757) 488-9382.

Contact Information

Primary practice address
2404 Airline Blvd Portsmouth VA 23701-2912
Phone: (757) 488-9382
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holder, Karis Licensed Professional Counselor (LPC)
Phone: (757) 488-9382

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Virginia

Profile Details

NPI number 1215165451
LBN Legal business name Tiderwater Youth Service Commission
DBA Doing business as
Authorized official Holder, Karis Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2009
Last updated Jun 25th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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